HOUSE BILL No. 1124
DIGEST OF INTRODUCED BILL
Citations Affected: IC 25-10-1-14; IC 25-27-1.
Synopsis: Physical therapy services. Except for sharp debridement and
spinal manipulation, allows a physical therapist to evaluate and treat a
patient without a referral for not more than 30 days. Requires a
physical therapist to obtain a referral from the patient's provider if
further treatment by the physical therapist is needed.
Effective: July 1, 2012.
January 9, 2012, read first time and referred to Committee on Public Health.
Second Regular Session 117th General Assembly (2012)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type
, and deletions will appear in
this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type
. Also, the
will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type
this style type
between statutes enacted by the 2011 Regular Session of the General Assembly.
HOUSE BILL No. 1124
A BILL FOR AN ACT to amend the Indiana Code concerning
professions and occupations.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 25-10-1-14; (12)IN1124.1.1. -->
SECTION 1. IC 25-10-1-14 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2012]: Sec. 14. (a) This section
applies to all persons, including persons listed in IC 25-22.5-1-2.
(b) A person may manually manipulate, manually adjust, or
manually mobilize the spinal column or the vertebral column of an
individual only if the person is:
(1) a chiropractor who has been issued a license under this
(2) a physician who has been issued an unlimited license to
practice medicine under IC 25-22.5; or
(3) an osteopathic physician who has been issued a license to
practice osteopathic medicine under IC 25-22.5.
(c) A person may not delegate the manual manipulation, manual
adjustment, or manual mobilization of the spinal column or the
vertebral column of an individual to another person, unless the other
(1) licensed as a chiropractor under this chapter;
(2) licensed as a physician with an unlimited license to practice
medicine under IC 25-22.5;
(3) licensed as an osteopathic physician with a license to practice
osteopathic medicine under IC 25-22.5;
(4) a student in the final year of course work at an accredited
chiropractic school participating in a preceptorship program and
working under the direct supervision of a chiropractor licensed
under this chapter; or
(5) a graduate of a chiropractic school who holds a valid
temporary permit issued under section 5.5 of this chapter.
(d) If a violation of subsection (b) or (c) is being committed:
(1) the board in its own name;
(2) the board in the name of the state; or
(3) the prosecuting attorney of the county in which the violation
occurs, at the request of the board and in the name of the state;
may apply for an order enjoining the violation from the circuit court of
the county in which the violation occurs.
(e) Upon a showing that a person has violated subsection (b) or (c),
the court may grant without bond an injunction, a restraining order, or
other appropriate order.
(f) This section does not apply to a physical therapist practicing
IC 25-27. IC 25-27-1-3.5(b). However, a physical therapist may
not practice chiropractic (as defined in IC 25-10-1-1) or medicine (as
defined in IC 25-22.5-1-1.1) unless licensed to do so.
SOURCE: IC 25-27-1-1; (12)IN1124.1.2. -->
SECTION 2. IC 25-27-1-1 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2012]: Sec. 1. For the purposes of
(1) "Physical therapy" means the evaluation of, administration of,
or instruction in physical rehabilitative and habilitative techniques
and procedures to evaluate, prevent, correct, treat, alleviate, and
limit physical disability, pathokinesiological function, bodily
malfunction, pain from injury, disease, and any other physical
disability or mental disorder, including:
(A) the use of physical measures, agents, and devices for
preventive and therapeutic purposes;
(B) neurodevelopmental procedures;
(C) the performance, interpretation, and evaluation of physical
therapy tests and measurements; and
(D) the provision of consultative, educational, and other
advisory services for the purpose of preventing or reducing the
incidence and severity of physical disability, bodily
malfunction, and pain.
(2) "Physical therapist" means a person who practices physical
therapy as defined in this chapter.
(3) "Physical therapist's assistant" means a person who assists in
the practice of physical therapy as defined in this chapter.
(4) "Board" refers to the medical licensing board.
(5) "Committee" refers to the Indiana physical therapy committee
established under section 4 of this chapter.
(6) "Person" means an individual.
(7) "Sharp debridement" means the removal of foreign
material or dead tissue from or around a wound, without
anesthesia and with generally no bleeding, through the use of:
(A) a sterile scalpel;
(D) tweezers; or
(E) other sharp medical instruments;
in order to expose healthy tissue, prevent infection, and
SOURCE: IC 25-27-1-2; (12)IN1124.1.3. -->
SECTION 3. IC 25-27-1-2 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2012]: Sec. 2. (a) Except as
otherwise provided in this chapter, it is unlawful for a person to:
(1) practice physical therapy;
(2) profess to be a physical therapist, physiotherapist, or physical
therapy technician or to use the initials "P.T.", "P.T.T.", or
"R.P.T.", or any other letters, words, abbreviations, or insignia
indicating that the person is a physical therapist; or
(3) practice or
to assume the duties incident to physical therapy;
without first obtaining from the board a license authorizing the person
to practice physical therapy in this state.
(b) Except as provided in section 2.5 of this chapter, it is
unlawful for a person to practice physical therapy other than upon the
order or referral of a physician, podiatrist, psychologist, chiropractor,
or dentist holding an unlimited license to practice medicine, podiatric
medicine, psychology, chiropractic, or dentistry, respectively. It is
unlawful for a physical therapist to use the services of a physical
therapist's assistant except as provided under this chapter. For the
purposes of this subsection, the function of:
(2) doing research;
(3) providing advisory services; or
(4) conducting seminars on physical therapy;
is not considered to be a practice of physical therapy.
(c) Except as otherwise provided in this chapter, it is unlawful for
a person to act as a physical therapist's assistant or to use initials,
letters, words, abbreviations, or insignia indicating that the person is a
physical therapist's assistant without first obtaining from the board a
certificate authorizing the person to act as a physical therapist's
assistant. It is unlawful for the person to act as a physical therapist's
assistant other than under the direct supervision of a licensed physical
therapist who is in responsible charge of a patient or under the direct
supervision of a physician. However, nothing in this chapter prohibits
a person licensed or registered in this state under another law from
engaging in the practice for which the person is licensed or registered.
These exempted persons include persons engaged in the practice of
osteopathy, chiropractic, or podiatric medicine.
(d) Except as provided in section 2.5 of this chapter, this chapter
does not authorize a person who is licensed as a physical therapist or
certified as a physical therapist's assistant to:
(1) evaluate any physical disability or mental disorder except
upon the order or referral of a physician, podiatrist, psychologist,
chiropractor, or dentist;
(2) practice medicine, surgery (as described in
IC 25-22.5-1-1.1(a)(1)(C)), dentistry, optometry, osteopathy,
psychology, chiropractic, or podiatric medicine; or
(3) prescribe a drug or other remedial substance used in medicine.
SOURCE: IC 25-27-1-2.5; (12)IN1124.1.4. -->
SECTION 4. IC 25-27-1-2.5 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2012]: Sec. 2.5. A physical therapist may evaluate and treat an
individual for not more than thirty (30) calendar days without a
referral from a provider described in section 2(b) of this chapter.
However, if the individual needs additional treatment from the
physical therapist after thirty (30) calendar days, the physical
therapist shall obtain a referral from the individual's provider, as
described in section 2(b) of this chapter.
SOURCE: IC 25-27-1-3.5; (12)IN1124.1.5. -->
SECTION 5. IC 25-27-1-3.5 IS ADDED TO THE INDIANA CODE
AS A NEW
SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2012]: Sec. 3.5. (a) A physical therapist may not perform sharp
debridement unless the physical therapist is acting on the written
order of a physician, osteopath, podiatrist, dentist, or chiropractor.
(b) A physical therapist may not perform manual manipulation
of the spinal column or the vertebral column unless the physical
therapist is acting on the specific written order of an osteopath or
chiropractor for spinal manipulation.